Thirty-day postoperative outcome of patients with non-traumatic gastroduodenal perforations in southwestern Uganda
| Autor: | Ronald Okidi, Noralis Portal Benitez, Felix Bongomin, David Mutiibwa, Martin D. Ogwang, Vanusa Da Consolação Sambo |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Referral Adolescent 030230 surgery 03 medical and health sciences Young Adult 0302 clinical medicine Postoperative Complications Risk Factors THIRTY-DAY Non traumatic medicine Postoperative outcome Humans In patient Uganda Prospective Studies Aged Aged 80 and over Laparotomy business.industry Public Health Environmental and Occupational Health Middle Aged Surgery Infectious Diseases Treatment Outcome 030220 oncology & carcinogenesis Peptic Ulcer Perforation Female business GASTRODUODENAL PERFORATION |
| Zdroj: | Tropical doctor. 50(1) |
| ISSN: | 1758-1133 |
| Popis: | We studied our 30-day postoperative outcomes in patients with non-traumatic gastroduodenal perforation (NTGDP) in Mbarara Regional Referral Hospital, southwestern Uganda. We conducted a one-year prospective study of patients who underwent exploratory laparotomy for suspected NTGDP between June 2016 and July 2017. Twenty-nine patients had NTGDP, the male-to-female ratio was 3:1 and median age was 60 years (range = 13–80 years). Most (83%) patients were negative for Helicobacter pylori on histology. One patient had a gastric adenocarcinoma. A total of 26 (90%) patients had Graham's omentopexy performed. The 30-day mortality rate was 34%. Pyrexia at hospital admission, pre-surgical delay (> 72 h), preoperative shock and peritoneal contamination, were associated with higher mortality rates with preoperative shock being an independent predictor of mortality. H. pylori-negative NTGDP presents a unique challenge in our setting, affecting mainly middle-aged and elderly patients. One-third of our patients did not survive one month. |
| Databáze: | OpenAIRE |
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